System and method for safety syringe

ABSTRACT

A system for injecting includes a syringe body defining a proximal opening and a distal needle interface. The system also includes a plunger member defining a plunger interior and configured to be manually manipulated to insert a stopper member relative to the syringe body, the plunger member. The plunger member includes a needle retention feature disposed in the plunger interior, an energy-storage member disposed in the plunger interior, and an energy-storage member latching member disposed in the plunger interior. The system further includes a needle hub assembly coupled to the distal needle interface of the syringe body. The needle assembly includes a needle having a needle proximal end feature, a hub, and a needle latching member configured to couple the needle to the hub. The needle is at least partially retractable into plunger interior. The needle proximal end feature includes an annular distally facing surface.

CROSS-REFERENCE TO RELATED APPLICATION(S)

The present application is a continuation of U.S. patent applicationSer. No. 15/801,304, filed Nov. 1, 2017 under attorney docket numberCM.20015.00 and entitled “SYSTEM AND METHOD FOR SAFETY SYRINGE,” whichclaims priority to (1) U.S. Provisional Patent Application Ser. No.62/416,102, filed on Nov. 1, 2016 under attorney docket numberCM.30011.00 and entitled “SYSTEM AND METHOD FOR SAFETY SYRINGE”; (2)U.S. Provisional Patent Application Ser. No. 62/431,382, filed on Dec.7, 2016 under attorney docket number CM.30012.00 and entitled “SYSTEMAND METHOD FOR SAFETY SYRINGE”; (3) U.S. Provisional Patent ApplicationSer. No. 62/480,276, filed Mar. 31, 2017 under attorney docket numberCM.30015.00 and, entitled “SYSTEM AND METHOD FOR SAFETY SYRINGE”; (4)U.S. Provisional Patent Application Ser. No. 62/542,230, filed Aug. 7,2017 under attorney docket number CM.30013.00 and entitled “CARTRIDGESAFETY INJECTION SYSTEM AND METHODS.” This application includes subjectmatter similar to the subject matter described in the following co-ownedU.S. patent applications: (1) U.S. Utility patent application Ser. No.14/696,342, filed Apr. 24, 2015, entitled “SYSTEM AND METHOD FOR SAFETYSYRINGE”; (2) U.S. Utility patent application Ser. No. 14/543,787, filedNov. 17, 2014, entitled “SYSTEM AND METHOD FOR DRUG DELIVERY WITH ASAFETY SYRINGE”; (3) U.S. Utility patent application Ser. No.14/321,706, filed Jul. 1, 2014, entitled “SAFETY SYRINGE”; (4) U.S.Utility patent application filed on Nov. 1, 2017 under attorney docketnumber CM.20011.00 and entitled “SYSTEM AND METHOD FOR SAFETY SYRINGE”;(5) U.S. Utility patent application filed on Nov. 1, 2017 under attorneydocket number CM.20012.00 and entitled “SYSTEM AND METHOD FOR SAFETYSYRINGE”; and (6) U.S. Utility patent application filed on Nov. 1, 2017under attorney docket number CM.20013.00 and, entitled “CARTRIDGE SAFETYINJECTION SYSTEM AND METHODS.” The contents of the above-mentionedapplications are fully incorporated herein by reference as though setforth in full.

FIELD OF THE INVENTION

The present invention relates generally to injection systems, devices,and processes for facilitating various levels of control over fluidinfusion, and more particularly to systems and methods related to safetysyringes in healthcare environments.

BACKGROUND

Millions of syringes, such as that depicted in FIG. 1A (2), are consumedin healthcare environments every day. A typical syringe (2) comprises atubular body (4), a plunger (6), and an injection needle (8). As shownin FIG. 1B, such a syringe (2) may be utilized not only to inject fluidinto a patient, but also to withdraw or expel fluid out of or into acontainer such as a medicine bottle, vial, bag, or other drugcontainment system (10). Indeed, due to regulatory constraints in somecountries such as the United States as well as sterility maintenanceconcerns, upon use of a medicine bottle (10) with a syringe (2) as shownin a particular patient's environment, such medicine bottle may only beutilized with a single patient and then must be disposed of—causingsignificant medical waste from bottle and remaining medicine disposal,and even contributing to periodic shortages of certain critical drugs.Referring to FIG. 2A, three Luer-type syringes (12) are depicted, eachhaving a Luer fitting geometry (14) disposed distally, so that they maybe coupled with other devices having similar mating geometry, such asthe Luer manifold assembly (16) depicted in FIG. 2B. The Luer manifoldassembly of FIG. 2B may be used to administer liquid drugs to thepatient intravenously with or without the use of an intravenous infusionbag. The Luer fittings (14) of the syringes of FIG. 2A may be termed the“male” Luer fittings, while those of FIG. 2B (18) may be termed the“female” Luer fittings; one of the Luer interfaces may be threaded (inwhich case the configuration may be referred to as a “Luer lock”configuration) so that the two sides may be coupled by relativerotation, which may be combined with compressive loading. In otherwords, in one Luer lock embodiment, rotation, possibly along withcompression, may be utilized to engage threads within the male fitting(14) which are configured to engage a flange on the female fitting (18)and bring the devices together into a fluid-sealed coupling. In anotherembodiment, tapered interfacing geometries may be utilized to providefor a Luer engagement using compression without threads or rotation(such a configuration may be referred to as a “Luer slip,” “slip-on” or“conical” Luer configuration). While such Luer couplings are perceivedto be relatively safe for operators, there is risk of medicinespilling/leaking and parts breakage assembly of a Luer coupling. The useof needle injection configurations, on the other hand, carries with itthe risk of a sharp needle contacting or stabbing a person or structurethat is not desired. For this reason, so called “safety syringes” havebeen developed.

One embodiment of a safety syringe (20) is shown in FIG. 3, wherein atubular shield member (22) is spring biased to cover the needle (8) whenreleased from a locked position relative to the syringe body (4).Another embodiment of a safety syringe (24) is shown in FIGS. 4A-4B.With such a configuration, after full insertion of the plunger (6)relative to the syringe body (4), the retractable needle (26) isconfigured to retract (28, 26) back to a safe position within thetubular body (4), as shown in FIG. 4B. Such a configuration which isconfigured to collapse upon itself may be associated with bloodspatter/aerosolization problems, the safe storage of pre-loaded energywhich may possible malfunction and activate before desirable, loss ofaccuracy in giving full-dose injections due to residual dead spacewithin the spring compression volume, and/or loss of retraction velocitycontrol which may be associated with pain and patient anxiety.

Further complicating the syringe marketplace is an increasing demand forpre-filled syringe assemblies such as those depicted in FIGS. 5A and 5B,which generally comprise a syringe body, or “drug enclosure containmentdelivery system”, (34), a plunger tip, plug, or stopper (36), and adistal seal or cap (35) which may be fitted over a Luer type interface(FIG. 5A shows the cap 35 in place; FIG. 5B has the cap removed toillustrate the Luer interface (14). Liquid medicine may reside in thevolume, or medicine reservoir, (40) between the distal seal (35) and thedistal end (37) of the plunger tip (36). The plunger tip (36) maycomprise a standard butyl rubber material and may be coated, such aswith a biocompatible lubricious coating (e.g., polytetrafluoroethylene(“PTFE”)), to facilitate preferred sealing and relative motioncharacteristics against the associated syringe body (34) structure andmaterial. The proximal end of the syringe body (34) in FIG. 5B comprisesa conventional integral syringe flange (38), which is formed integral tothe material of the syringe body (34). The flange (38) is configured toextend radially from the syringe body (34) and may be configured to be afull circumference, or a partial circumference around the syringe body(34). A partial flange is known as a “clipped flange” while the other isknown as a “full flange.” The flange is used to grasp the syringe withthe fingers to provide support for pushing on the plunger to give theinjection. The syringe body (34) preferably comprises a translucentmaterial such as a glass or polymer. To form a contained volume withinthe medicine chamber or reservoir (40), and to assist with expulsion ofthe associated fluid through the needle, a plunger tip (36) may bepositioned within the syringe body (34). The syringe body (34) maydefine a substantially cylindrical shape (i.e., so that a plunger tip 36having a circular cross sectional shape may establish a seal against thesyringe body (34)), or be configured to have other cross sectionalshapes, such as an ellipse.

Such assemblies are desirable because they may be standardized andproduced with precision in volume by the few manufacturers in the worldwho can afford to meet all of the continually changing regulations ofthe world for filling, packaging, and medicine/drug interfacingmaterials selection and component use. Such simple configurations,however, generally will not meet the new world standards for single-use,safety, auto-disabling, and anti-needle-stick. Thus certain suppliershave moved to more “vertical” solutions, such as that (41) featured inFIG. 5C, which attempts to meet all of the standards, or at least aportion thereof, with one solution; as a result of trying to meet thesestandards for many different scenarios, such products may havesignificant limitations (including some of those described above inreference to FIGS. 3-4B) and relatively high inventory and utilizationexpenses.

Adding safety, auto-disabling, and anti-needle-stick features toexisting syringe systems, using off-the-shelf components (e.g., syringebodies, cartridges, and stoppers) requires a plurality of connectionsbetween the off-the-shelf components and the specialized components.These connections can be made during the assembly process by techniciansor machines. Alternatively, some of these connections may be madedirectly before or during use by the medical professionals orself-administering patients. If any of these connections fail duringinjection, the safety syringe may not properly function, resulting infailed injections and danger to the medical professional administeringthe injections.

There is a need for injection systems which address the shortcomings ofcurrently-available configurations. In particular, there is a need forsafety injection solutions that may utilize the existing and relativelywell-controlled supply chain of conventionally delivered pre-filledsyringe assemblies such as those described in reference to FIGS. 3 to5B. Further, there is a need for safety syringe assemblies includingreliable connects between the various assembled parts that meet variousinjection system standards, such as safety, auto-disabling, andanti-needle-stick.

SUMMARY

Embodiments are directed to injection systems. In particular, theembodiments are directed to safe injection systems that move the needleinto a protected configuration to minimize accidental user injury andcontamination with used needles.

In one embodiment, a system for injecting includes a syringe bodydefining a proximal opening and a distal needle interface. The systemalso includes a plunger member defining a plunger interior andconfigured to be manually manipulated to insert a stopper memberrelative to the syringe body, the plunger member. The plunger memberincludes a needle retention feature disposed in the plunger interior, anenergy-storage member disposed in the plunger interior, and anenergy-storage member latching member disposed in the plunger interior.The system further includes a needle hub assembly coupled to the distalneedle interface of the syringe body. The needle assembly includes aneedle having a needle proximal end feature, a hub, and a needlelatching member configured to couple the needle to the hub. The needleis at least partially retractable into plunger interior uponmanipulation of the plunger member relative to the syringe body totransform the energy-storage member latching member from a latched stateto an unlatched state. The energy-storage member latching member isintercoupled between an interior surface of the plunger member and theneedle retention feature. The needle proximal end feature includes anannular distally facing surface.

In one or more embodiments, the needle is configured to pierce throughthe stopper member to initiate needle retraction. The annular distallyfacing surface may be configured to prevent distal movement of theneedle relative to the needle retention feature, when the needle iscoupled to the needle retention feature. The needle proximal end featuremay also include a proximally directed tapering surface. The proximallydirected tapering surface may define a proximally pointed cone.

In one or more embodiments, the needle also has an elongate needleproximal portion, and the needle proximal end feature also includes aproximal tip. The elongate needle proximal portion may have asubstantially constant first cross-sectional diameter. The annulardistally facing surface may have a second cross-sectional diametergreater than the first cross-sectional diameter. The proximal tip mayhave a third cross-sectional diameter, lesser than the firstcross-sectional diameter.

In one or more embodiments, the needle retention member includes areceiving member having a plurality of latching members to cooperatewith the annular distally facing surface to prevent distal movement ofthe needle relative to the needle retention feature, when the needle iscoupled to the needle retention feature. The plurality of latchingmembers may consist of two latching members. Each of the two latchingmembers may have an arcuate cross-sectional geometry. The plurality oflatching members may consist of four latching members.

In one or more embodiments, the receiving member also has a rigid ringdisposed at a distal end thereof. Each of the plurality of latchingmembers may rotate about the rigid ring. The receiving member alsohaving a plurality of slits, where each slit of the plurality of slitsis disposed between two latching members of the plurality of latchingmembers.

In one or more embodiments, the receiving member has an openconfiguration in which the needle proximal end feature can moveproximally past the receiving member and a resting configuration inwhich the needle proximal end feature cannot move distally past thereceiving member. The plurality of latching members may be closer toeach other when the receiving member is in the resting configurationthan when the receiving member is in the open configuration. Theplurality of latching members may be biased to move closer to each othersuch that the receiving member is in the resting configuration. Theplurality of latching members may be configured to move away from eachother when the needle proximal end feature is moved proximally past thereceiving member to place the receiving member in the openconfiguration. The plurality of latching members may be biased to movecloser to each other when the needle proximal end feature has moved pastthe receiving member in a proximal direction such that the receivingmember is returned to the resting configuration, such that aninteraction between the plurality of latching members and the annulardistally facing surface of the needle proximal end feature preventsdistal movement of the needle relative to the needle retention feature.

In another embodiment, a needle assembly includes a proximal portion.The needle assembly also includes a tubular middle portion having adistal end receiving member having a plurality of latching members. Theneedle assembly also includes a distal portion having a proximal endconnector including a reduced diameter area to receive the plurality oflatching members thereby coupling the distal portion to the tubularmiddle portion.

In one or more embodiments, the reduced diameter area is an annularspace. The distal end receiving member may also have a plurality ofslits, where each slit of the plurality of slits is disposed between twolatching members of the plurality of latching members. The proximal endconnector may also include an O-ring to form a fluid tight seal betweenan outer surface of the proximal end connector and an inner surface ofthe tubular middle portion when the distal portion is coupled to thetubular middle portion.

In one or more embodiments, the proximal end connector also includes aproximally directed tapering surface. The proximally directed taperingsurface may define a portion of a proximally pointed cone. The distalend receiving member may also have a proximally directed taperingsurface to facilitate insertion of a proximal end of the proximal endconnector into a lumen of the tubular middle portion. The proximallydirected tapering surface may define a funnel that tapers in a proximaldirection.

In one or more embodiments, the tubular middle portion may have a middleportion lumen and a proximal opening to allow fluid communicationbetween an exterior of the tubular middle portion and the middle portionlumen. The distal portion may have a distal portion lumen and a distalopening to allow fluid communication between an exterior of the distalportion and the distal portion lumen. The proximal opening of thetubular middle portion, the middle portion lumen, the distal portionlumen, and the distal opening of the distal portion may form a fluidpath between the exterior of the tubular middle portion and the exteriorof the distal portion when the distal portion is coupled to the tubularmiddle portion. The tubular middle portion may also have a notch tocooperate with a needle latching member to restrict movement of theneedle.

In one or more embodiments, the distal end receiving member has an openconfiguration in which a portion of the proximal end connector can moveproximally past the distal end receiving member and a restingconfiguration in which the portion of the proximal end connector cannotmove distally past the distal end receiving member. The plurality oflatching members may be closer to each other when the distal endreceiving member is in the resting configuration than when the distalend receiving member is in the open configuration. The plurality oflatching members may be biased to move closer to each other such thatthe distal end receiving member is in the resting configuration. Theplurality of latching members may be configured to move away from eachother when the portion of the proximal end connector is moved proximallypast the distal end receiving member to place the distal end receivingmember in the open configuration. The plurality of latching members maybe biased to move closer to each other when the portion of the proximalend connector has moved into the tubular middle portion such that thedistal end receiving member is returned to the resting configuration,the plurality of latching members are disposed at least partially in thereduce diameter area, and an interaction between the plurality oflatching members and the reduced diameter area of the proximal endconnector prevents axial movement of the needle relative to the needleretention feature.

In still another embodiment, a system for injecting includes a syringebody defining a proximal opening and a distal needle interface. Thesystem also includes a plunger member defining a plunger interior andconfigured to be manually manipulated to insert a stopper memberrelative to the syringe body. The plunger member includes a needleretention feature disposed in the plunger interior, an energy-storagemember disposed in the plunger interior, and an energy-storage memberlatching member disposed in the plunger interior. The system furtherincludes a needle hub assembly coupled to the distal needle interface ofthe syringe body. The needle assembly includes a needle, a proximalconnector hub coupled to the tubular middle portion of the needle, and adistal connector hub coupled to the distal portion of the needle. Theneedle includes a proximal portion, a tubular middle portion, having adistal end receiving member having a plurality of latching members, anda distal portion, having a proximal end connector. The proximal endconnector includes a reduced diameter area to receive the plurality oflatching members thereby coupling the distal portion to the tubularmiddle portion. The distal connector hub is configured to couple to theproximal connector hub to couple the distal and tubular middle portionsof the needle. The needle is at least partially retractable into plungerinterior upon manipulation of the plunger member relative to the syringebody to transform the energy-storage member latching member from alatched state to an unlatched state. The energy-storage member latchingmember is intercoupled between an interior surface of the plunger memberand the needle retention feature.

In one or more embodiments, the proximal and distal connectors are Luerconnectors. The reduced diameter area may be an annular space. Thedistal end receiving member may also have a plurality of slits, whereeach slit of the plurality of slits is disposed between two latchingmembers of the plurality of latching members. The proximal end connectormay also include an O-ring to form a fluid tight seal between an outersurface of the proximal end connector and an inner surface of thetubular middle portion when the distal portion is coupled to the tubularmiddle portion.

In one or more embodiments, the proximal end connector also includes aproximally directed tapering surface. The proximally directed taperingsurface may define a portion of a proximally pointed cone. The distalend receiving member may also have a proximally directed taperingsurface to facilitate insertion of a proximal end of the proximal endconnector into a lumen of the tubular middle portion. The proximallydirected tapering surface defines a funnel that tapers in a proximaldirection.

In one or more embodiments, the tubular middle portion has a middleportion lumen and a proximal opening to allow fluid communicationbetween an interior of the syringe body and the middle portion lumen.The distal portion may have a distal portion lumen and a distal openingto allow fluid communication between an exterior of the distal portionand the distal portion lumen. The proximal opening of the tubular middleportion, the middle portion lumen, the distal portion lumen, and thedistal opening of the distal portion may form a fluid path between theinterior of the syringe body and the exterior of the distal portion whenthe distal portion is coupled to the tubular middle portion.

In one or more embodiments, the needle hub assembly also includes aneedle latching member configured to couple the needle to the hub. Thetubular middle portion may also have a notch to cooperate with theneedle latching member to couple the needle to the hub. The needlelatching member may include a locking latching member releasable bydistal movement of the needle relative to the hub to uncouple the needlefrom the hub.

In one or more embodiments, the distal end receiving member has an openconfiguration in which a portion of the proximal end connector can moveproximally past the distal end receiving member and a restingconfiguration in which the portion of the proximal end connector cannotmove distally past the distal end receiving member. The plurality oflatching members may be closer to each other when the distal endreceiving member is in the resting configuration than when the distalend receiving member is in the open configuration. The plurality oflatching members may be biased to move closer to each other such thatthe distal end receiving member is in the resting configuration. Theplurality of latching members may be configured to move away from eachother when the portion of the proximal end connector is moved proximallypast the distal end receiving member to place the distal end receivingmember in the open configuration. The plurality of latching members maybe biased to move closer to each other when the portion of the proximalend connector has moved into the tubular middle portion such that thedistal end receiving member is returned to the resting configuration,the plurality of latching members are disposed at least partially in thereduce diameter area, and an interaction between the plurality oflatching members and the reduced diameter area of the proximal endconnector prevents axial movement of the needle relative to the needleretention feature.

In yet another embodiment, a method of retracting a needle afterinjection, the method includes injecting a substance using a systemhaving a syringe body, a plunger member, and a needle. The plungermember has a needle retention feature therein. The needle has a proximalend feature including an annular distally facing surface. The methodalso includes moving the proximal end feature of the needle into aninterior of the needle retention feature to thereby couple the needle tothe needle retention feature. The method further includes retracting theneedle retention feature in a proximal direction inside of the plungermember, thereby retracting the needle at least partially within theplunger member.

In one or more embodiments, the needle retention feature includes areceiving member having a plurality of latching members, the proximalend feature defines a proximally pointed cone, and moving the proximalend feature of the needle into the interior of the needle retentionfeature includes inserting a proximal end of the proximally pointed conethrough an opening defined by the plurality of latching members of thereceiving member. Inserting the proximal end of the proximally pointedcone through the opening may move the plurality of latching members awayfrom each other to place the receiving member in an open configuration.Moving the proximal end feature of the needle into the interior of theneedle retention feature may also include inserting the proximallypointed cone completely through the opening to allow the plurality oflatching members to move toward each other to return the receivingmember to a resting configuration, such that an interaction between theplurality of latching members and the annular distally facing surface ofthe proximal end feature prevents distal movement of the needle relativeto the needle retention feature.

In still another embodiment, a method of assembling a needle having aproximal portion coupled to a tubular middle portion having a distal endreceiving member having a plurality of latching members, and a distalportion having a proximal end connector including a reduced diameterarea, includes moving a portion of the proximal end connector into aninterior of the distal end receiving member to thereby couple the distalportion to the tubular middle portion.

In one or more embodiments, moving the portion of the proximal endconnector into the interior of the distal end receiving member includesinserting a proximal end of the proximal end connector through anopening defined by the plurality of latching members of the distal endreceiving member. Inserting the proximal end of the proximal endconnector through the opening may move the plurality of latching membersaway from each other to place the distal end receiving member in an openconfiguration. Moving the portion of the proximal end connector into theinterior of the distal end receiving member may also include insertingthe portion of the proximal end connector completely through the openingto allow the plurality of latching members to move toward each other andinto the reduced diameter area of the proximal end connector to returnthe distal end receiving member to a resting configuration, and aninteraction between the plurality of latching members and the reduceddiameter area of the proximal end connector prevents axial movement ofthe needle relative to the needle retention feature.

In yet another embodiment, a system for injecting includes a syringebody defining a proximal opening and a distal needle interface at adistal end thereof. The system also includes proximal and distal stoppermembers disposed in the syringe body, forming a proximal drug chamberbetween the proximal and distal stopper members and a distal drugchamber between the distal stopper member and the distal end of thesyringe body. The system further includes a plunger member defining aplunger interior and configured to be manually manipulated to insert theproximal stopper member relative to the syringe body. The plunger memberincludes a needle retention feature disposed in the plunger interior, anenergy-storage member disposed in the plunger interior, and anenergy-storage member latching member disposed in the plunger interior.Moreover, the system includes a needle hub assembly coupled to thedistal needle interface of the syringe body. The needle assemblyincludes a needle having a needle proximal end feature, a hub, and aneedle latching member configured to couple the needle to the hub. Theneedle is at least partially retractable into plunger interior uponmanipulation of the plunger member relative to the syringe body totransform the energy-storage member latching member from a latched stateto an unlatched state. The energy-storage member latching member isintercoupled between an interior surface of the plunger member and theneedle retention feature. The needle proximal end feature includes anannular distally facing surface. The needle proximal end featureincludes a proximal opening and a hollow interior.

In one or more embodiments, the needle includes a tubular member coupledto the proximal end feature such that an interior of the tubular memberis in fluid communication with the hollow interior of the needleproximal end feature. The tubular member may include a side opening. Afluid path may be formed between the proximal opening and the sideopening through the hollow interior of the needle proximal end featureand the interior of the tubular member. The needle proximal end featureand the tubular member may be configured such that the tubular memberand the needle proximal end feature can span the distal stopper memberwith the proximal opening in the proximal chamber and the side openingin the distal chamber.

In one or more embodiments, the needle including a shoulder configuredto increase a distal force required to push the distal stopper memberover the needle. The proximal opening may be defined by blunted edges ofthe needle proximal end feature. The needle proximal end feature mayinclude a closed proximal end

The aforementioned and other embodiments of the invention are describedin the Detailed Description which follows.

BRIEF DESCRIPTION OF THE DRAWINGS

The foregoing and other aspects of embodiments are described in furtherdetail with reference to the accompanying drawings, in which the sameelements in different figures are referred to by common referencenumerals, wherein:

FIGS. 1A-5C illustrate various aspects of conventional injection syringeconfigurations.

FIGS. 6A-6CC illustrate a safe injection system according to oneembodiment.

FIGS. 7A-7N illustrate a safe injection system according to anotherembodiment.

FIGS. 8A-8K illustrate a 3-D arrowhead assembly proximal end andcorresponding needle retention feature for a safe injection systemaccording to one embodiment.

FIGS. 9A-10B illustrate two needle retention features for use with a 3-Darrowhead assembly proximal and in safe injection systems according totwo embodiments.

FIGS. 11A-13G illustrate various aspects of dual chamber safe injectionsystems according to various embodiments.

FIGS. 14A-15J illustrate safe injection systems having Luer connectorsand distal needle tip connectors according to various embodiments.

FIGS. 16A-16B illustrate safe cartridge injection systems with whichdistal needle tip connectors according to various embodiments may beused.

FIGS. 17-21 illustrate hollow 3-D arrowhead assembly proximal endsaccording to various embodiments.

In order to better appreciate how to obtain the above-recited and otheradvantages and objects of various embodiments, a more detaileddescription of embodiments is provided with reference to theaccompanying drawings. It should be noted that the drawings are notdrawn to scale and that elements of similar structures or functions arerepresented by like reference numerals throughout. It will be understoodthat these drawings depict only certain illustrated embodiments and arenot therefore to be considered limiting of scope of embodiments.

DETAILED DESCRIPTION OF ILLUSTRATED EMBODIMENTS Exemplary Safe SyringeSystem (with Staked Needle)

Referring to FIGS. 6A-6B, a side and a perspective view of a safeinjection system are shown, with a conventional off-the-shelf pre-filledsyringe body (34) defining a medicine chamber (40), a stopper member(36) occluding the proximal aspect of the medicine chamber (40), and aneedle coupling assembly (606) disposed at the distal aspect of themedicine chamber (40) with a needle cover member (63) installed forstorage. The safe injection system controls exit of medicine from thechamber (40) distally subject to insertion of a plunger assemblyrelative to the syringe body (34) by a user. The plunger assemblyincludes a stopper member (36), a plunger housing member (69) and aplunger manipulation interface (128).

Referring to FIG. 6C-6D the safe injection system has a staked needleconfiguration wherein upon presentation to the user, a needle assembly,comprising a needle coupling assembly (606; itself comprising a proximalhousing portion 608 and a distal housing portion 610), a needle distaltip (48), a needle joining member (83—see, for example, FIG. 6E), and aneedle proximal end (50) are mounted in position ready for injectionafter removal of a needle cover member (63) which may comprise anelastomeric sealing material on its internal surface to interface withthe needle distal tip (48) or the distal housing portion (610) duringstorage. While, the staked needle is depicted as mounted in position,the staked needle may be removably coupled to the syringe body (34)using a Luer interface (not shown), with the proximal end (50) of theneedle member extending through the Luer interface and into the medicinechamber (40). In the embodiments depicted in FIGS. 6A-8S2, a significantportion of the safe needle retraction hardware resides within a plungerhousing.

Referring to FIGS. 6E and 6F, the needle spine assembly (76), i.e.,“needle,” includes an injection member having a distal needle tip (48),and a needle proximal end (50) coupled to a needle joining member (83).The needle joining member (83) is configured to have a necked-down orradially-reduced portion (111) that is configured to interface with alatching member (612) and movable block member (614) such that duringinjection, the needle distal tip (48), needle joining member (83), andneedle proximal end (50) remain fixed in position relative to thesyringe body (34), but after complete insertion of the plunger assemblyrelative to a small diameter flange (33—see, for example, FIG. 6A)(i.e., after full expulsion of the medicine which may be containedwithin the medicine chamber 40 of the syringe body 34), the movableblock member (614) is advanced relative to the distal housing portion(610) such that the plurality (two are illustrated) of cantileveredlatch members (616) of the latch member (612) are urged out of the wayby the movable block member (614) to allow the needle distal end (48),joining member (83), and proximal end (50) to be retracted through theircoupling (as described below), thereby placing the needle distal end(48) safely within the plunger housing member (69). In other words, thecantilevered latch members (616) retain the position of the needledistal end (48) during injection, until they are pushed out of the wayby the movable block member (614) at full plunger insertion, after whichthe needle is free to be withdrawn as described below.

Referring to FIG. 6D, at initial assembly time (i.e., in the factory orprocessing facility—not in the field in a “staked needle”configuration), the proximal housing assembly (608) is configured tosnap-fit (i.e., using a snap ring element 604 comprising or coupled tothe proximal housing assembly) over a slightly recessed radial portion(602) of the syringe body which is formed into the syringe body uponmanufacture of the syringe body. FIG. 6Z illustrates a cross sectionalview of such constructs in action, and FIGS. 6H-6J illustrate partialperspective wireframe views to more directly visualize the latchingmember (612) and cantilevered members (616) relative to the needleportions (48, 83, 50, 111).

FIG. 6Z also illustrates a distal seal (620) configured to provide aseal between the medicine chamber (40) in a medicine container (e.g.,syringe body (34)) and the exterior surfaces of the needle spineassembly (76). Preferably, the distal seal (620) is configured toprovide a seal around the outside of the needle joining member (83).This seal is further configured to provide a seal between the medicinechamber (40) and the interior surfaces of the needle coupling assembly(606). FIG. 6Z also shows a snap fit (630) between a distal end of themedicine container (e.g., syringe body (34)) and a proximal end of theneedle coupling assembly (606).

Referring to FIGS. 6AA-6CC, the distal seal (620) is shown inperspective views (FIGS. 6AA-6BB) and a cross sectional view (FIG. 6CC).The distal seal (620) includes a medicine container contact seal surface(622). This contact seal surface (622) further includes a proximallyprojecting seal (624) configured to seal against the outside surfaces ofthe needle spine assembly (76) when the distal seal (620) is coupled tothe medicine container (e.g., syringe body (34)) and the needle couplingassembly (606). The distal seal (620) is also includes internal sealingglands (626) to seal on the outside of the needle joining member (83).Moreover, the distal seal (620) includes a needle coupling assemblycontract surface (628) configured to seal against an inside surface ofthe needle coupling assembly (606) when the distal seal (620) is coupledto the needle coupling assembly (606).

FIG. 6E illustrates aspects of a needle spine assembly (76), comprisingthe elements of a needle assembly without the needle coupling assembly(606). The distal portion (48) of the needle spine assembly (76)comprises a sharpened hypodermic needle tip formed on an injectionmember (78). As shown in FIGS. 6G and 6H, the needle proximal end (50)also comprises a sharped tip (86) that is formed into a coupling memberthat forms the distal portion. A hollow joining member (83) couples thecoupling member to the tubular injection member (78). The injectionmember (78), sharpened tip (86) on the needle proximal end (50), andhollow joining member (83) may be held together with interference fits,welds, and/or adhesives. The most proximal end (84) of the needleproximal end (50) in the depicted embodiment comprises a “harpoon” stylegeometry configured to stab into and hold onto a compliant member towhich it may be interfaced, as described in further detail below, forwithdrawal of the needle spine assembly (76) into the plunger housingmember (69). The needle proximal end (50) may be formed from a thinsheet metal component using laser cutting, etching, stamping, and/ormachining techniques, for example. Referring to FIGS. 6W-6Y, the hollowjoining member (83) also may provide a fluid pathway from the medicinechamber (not shown; see e.g., 40 in FIG. 6M and 42 in FIG. 11A) into theinner diameter of the tubular injection member (78). This fluid pathwaymay include an opening (85) at the proximal end of the hollow joiningmember (83) adjacent to the needle proximal end (50) as shown in FIGS.6W and 6Y. As shown in FIG. 6Y, the opening (85) may be formed bycutting or skiving the proximal end of the hollow joining member (83).Referring to FIG. 6X, an alternative fluid pathway may be formed throughan opening (85) (e.g., a hole or a slot) in the side wall of the hollowjoining member. The transition between the outer diameter (87) of thehollow joining member (83) and the outer diameter (88) of the needleproximal end (50) may be smoothed to reduce retraction forces requiredto retract the needle spine assembly (76) through the stopper/plungertip (36) at least partially into the plunger member housing (not shown,see e.g., 69 in FIG. 6M).

Returning to FIGS. 6A-6B, for example, a safe injection configurationcomprises a conventional syringe body (34), fitted with a plunger tip(36) configured to be pierced by proximal needle end (50) at anappropriate time to assist with needle retraction; this plunger tip (36)is coupled to a plunger manipulation interface (128) by a plungerhousing member (69) defining an inner volume occupied by various otherportions of the assembly, as described below, which are configured toretract the needle at an appropriate time in the sequence of use. Aneedle coupling assembly (606) described above is included in theillustrated embodiment; other embodiments may comprise Luer type orcartridge type needle assembly coupling to the syringe body (34). Thedepicted version of the syringe body (34) comprises a conventionalsmall-diameter flange (33) geometry which may be manipulated orinterfaced between the index and middle fingers of the operator, forexample, while a thumb of the operator is interfaced with the plungermanipulation interface (128). FIGS. 6A and 6B illustrate pre-utilizationassemblies with a needle cover (63) in place to mechanically isolate thedistal needle tip (48). Referring to FIG. 6M, the needle cover (63) hasbeen removed and the assembly is readied for injection into a patient.Referring to FIG. 6N, after the distal needle end (48) has been insertedor stabbed into a tissue structure of a patient, the plungermanipulation interface (128) may be briefly pulled away from the syringebody (34) to “aspirate” or check to confirm that the needle distal tip(48) has not come to rest within an unwanted tissue structure portion,such as a vessel. For example, if the distal needle tip (48) has come torest within a vessel, upon slightly pulling out the plunger tip (36), asmall marking of blood of the patient is likely to appear within themedicine chamber (40), and the operator can see this and reposition thedistal needle tip (48).

Referring to FIG. 6O, with the desired distal needle tip positionconfirmed, the plunger manipulation interface (128) is inserted relativeto the syringe body (34) and the medicine is expelled out of themedicine chamber (40), through the needle tip (48), and into thepatient. FIG. 6P illustrates a cross sectional view of the configurationof FIG. 6O. Referring to FIG. 6Q, with complete seating of the plungertip (36) into the syringe body (34), the proximal needle end (50) isstabbed through the plunger tip (36), while elastic deformation of thematerial comprising the plunger tip (36) allows the plunger tip to reachthe bottom of the syringe body to expel all of the medicine, and triggerthe spring to retract the needle while accounting for geometricvariation of syringe body and other components due to manufacturing andassembly tolerances. Referring to FIG. 6R, the needle retention feature(712) is configured to prevent pull-out of the proximal needle end (50)once it has been stabbed into and captured by the needle retentionfeature (712). The capturing interaction between the needle retentionfeature (712) and the proximal end harpoon (84) of the needle proximalend (50) is configured to allow relatively easy motion (using lessforce) in the compressive/coupling direction (i.e., during thestabbing-in motion with the proximal end harpoon 84 of the needleproximal end 50), and relatively difficult motion (withstanding moreforce) in the axial tension/decoupling motion (i.e., with a needleretracting load from the plunger assembly to pull the needle distal tipinto a safe configuration).

With complete insertion of the plunger tip (36), the needle latch (616)is configured to become unseated from its previous interface position(111) against the needle body, as shown in FIG. 6R, to allow forretraction of the needle; concomitantly, as is shown in the progressionfrom FIGS. 6Q/6R to FIGS. 6S/6T, the proximal needle end (50) isconfigured to directly abut or compress against an unlatching member(710) or rod that is configured to allow a rotatable latching member(714) to be positioned or configured into either of two states. Thefirst configuration of the rotatable latching member (714), shown inFIG. 6Q and associated cross section FIG. 6R, is the “latched”condition, where the rotatable latching member (714) is retained in theposition shown in FIG. 6R by a proximal feature comprising the proximalaspect of the unlatching member (710). In this latched condition, a loadgenerated by a compressed energy-storing member (718), such as a spring,is reacted by the geometric state of the latching member (714),maintaining the compressed state of the energy-storing member (718). Thesecond configuration of the rotatable latching member (714), shown inFIG. 6S and associated cross section FIG. 6T, may be termed the“unlatched” condition wherein the unlatching member (710) has been movedmore proximally with loading from the needle proximal end (50) to causethe rotatable latching member (714) to be free to rotate. In this secondconfiguration, with rotation of the rotatable latching member (714) outof the lock interface window (716) as shown in FIG. 6T, the loadgenerated by the compressed energy-storing member (718) is not reactedby the rotatable latching member (714), and the energy-storing member(718) is free to expand longitudinally, as shown in FIG. 6U andassociated cross section FIG. 6V, thereby pulling the needle retentionfeature (712) and intercoupled needle spine assembly (76) proximally,which retracts the needle spine assembly (76) through the plunger tip(36) where the needle distal tip (48) is safely encapsulated in at leasta portion of the plunger housing member (69) and/or inside at least aportion of the needle coupling assembly (606). As such, the rotatablelatching member (714) is a “living hinge”. Thus referring to FIG. 6T, inthe unlatched configuration, the unlatching member (710) is movedproximally and the rotatable latching member (714) is configured torotate from a latched position, wherein the rotatable latching member(714) is seated within a lock interface window (716), and wherein thisinterfacing of the latch position maintains the energy storage member(718), which may comprise a spring, in a stored configuration, to anunlatched position, wherein the rotatable latching member (714) isrotated slightly out of the lock interface window, as shown in FIG. 6S,and the cross sectional view of FIG. 6T, to free the energy storagemember (718) to accelerate and move the unlatching member (710) andintercoupled retention features (712) to the right as the potentialenergy stored in the energy storage member (718) is released, therebypulling the intercoupled proximal needle end (50) along with it, asshown in FIG. 6U and the cross sectional view of FIG. 6V, such that theneedle distal tip (48) becomes safely encapsulated within the plungertip (36) and the plunger housing member (69) (i.e., into a protectedconfiguration). Once in this configuration, the needle coupling assembly(606) preferably is configured to prevent any further re-insertion ofthe distal needle tip (48) relative to the syringe body (34); in otherwords, needle tip re-exposure is prevented with such a safetyconfiguration. In one embodiment the plunger tip (36) may be solid, nothaving any pre-formed through-holes to facilitate transection of theneedle proximal end (50). As shown, for example, in FIG. 6V, completeretraction of the needle through the plunger tip (36) requires theneedle to penetrate the plunger tip. To pull the needle through theplunger tip (36) without losing “grip” on the needle proximal end (50),the penetration force of the needle through the plunger tip (36)generally must be low enough so as not to exceed the “gripping load”provided by the interface that has been formed between the proximalneedle end (50) and the needle retention features (712) with stabbing ofthe proximal needle end (50) through the plunger tip (36). With oneembodiment, experimentation has shown that the penetration force betweenthe needle spine assembly (76) and the plunger tip (36), or the needlejoining member (83) and the plunger tip (36), is between about 1 lb. andabout 7 lbs., depending upon the rubber or elastomeric material used tomanufacture the plunger tip (36), or the plastic or metal used tomanufacture the needle joining member (83). To further minimizeresistance as the needle spine assembly (76) is pulled through theelastomeric plunger tip (36), in one embodiment it is desirable tocreate a chamfered, tapered, and or blended transition geometry on theproximal geometric aspects of the needle joining member (83).

As was discussed above in reference to FIGS. 6Q and 6R, in theembodiment of FIGS. 6A-6CC, the elastomeric material comprising theplunger tip (36) is utilized to assist in dealing with slight geometrictolerances which may be present due to manufacturing, assembly,temperature, or other factors. In use, the operator feels the fullinsertion position of the plunger tip (36) relative to the syringe body(34) coming by an increased insertion load required to continueinserting the plunger tip (36). The operator may be trained to continuesuch insertion against such increasing insertion resistance load until a“click” sound is heard, which signifies that the needle latchingmechanism (616) has been triggered, thereby releasing the needlelongitudinally relative to the syringe body (34) so that it may beretracted. In one embodiment, the “click” sound is caused by rotation ofthe rotatable latching member (714), which is driven by the energystorage member (718), and the release of the energy stored in the energystorage member to retract the needle into the plunger rod. The “click”sound may also provide a tactile feedback to the user that the injectionhas been completed by being triggered by the plunger tip (36) reachingthe bottom of the medicine chamber, thus having expelled all of themedicine.

Exemplary Safe Syringe System (with Luer Needle)

As noted above, while the configurations of FIGS. 6A-6CC are illustratedusing a staked needle/needle housing/latch configuration as described indetail here, such configurations may also utilize a removable Luer type(e.g., Luer lock, Luer slip, Luer taper, etc.) coupling and associatedhardware.

For instance, FIGS. 7A-7E illustrate a syringe (34) with an integratedsafety needle configured to have a user attachable needle which utilizesa Luer type coupling (14). FIG. 7A is a Luer type user attachable needlesafety syringe where the Luer needle (120) comprises a needle spineassembly (74) and needle coupling assembly (606) and is housed within aneedle cover/shield (63). The needle cover/shield (63) of this type maycontain the rotational clutch mechanisms as described in patent Ser. No.14/696,342, which has been incorporated by reference herein. FIG. 7Bshows a user attachable Luer needle (120) in the “ready to be attachedstate”, with the needle shield removed for clarity. FIGS. 7C-7E showperspective and cross sectional views of a syringe with the attachableneedle fully attached and ready for the injection to be performed. FIG.7E further illustrates a needle seal (405) which seals a joint betweenthe needle spine assembly (76) and the interior of the needle couplingassembly (606).

FIGS. 7F-7N illustrate a syringe (34) with an integrated safety needleconfigured for use with a user attachable needle having a Luer taper orLuer slip type coupling (14). To prevent incorrect assembly by the user,the Luer slip coupling (14) and features contained in the needle cover(63) are designed to prevent insertion of the syringe (34) into theneedle cover (63) before a syringe cap (400) is removed. A filter disc(401) is configured to be releasably coupled to mating features (403)inside the needle cover such that mechanical interference between thesyringe cap (400) and the filter disc (401) does not allow the syringecap (400) to advance into the cover (63).

Referring to FIG. 7H-7J, in which the needle shield has been removed forclarity, the filter disc has an internal diameter (406) that is sized tolet a Luer slip coupling (14) enter through the internal diameter (406),while excluding the syringe cap (400). FIG. 7I illustrates the syringecap (400) interfacing with/being blocked by the filter disc (401). FIG.7J illustrates the insertion of the Luer slip coupling (14) into theinternal diameter of the filter disc (401). Inserting the Luer slipcoupling (14) into the internal diameter of the filter disc (401) causesa plurality (e.g., three) rotatable latches (402) on the filter disc(401) to rotate and disengage from the needle cover, allowing the filterdisc (401) to slide inside and allowing the Luer slip to advance intothe needle cover into engagement with the needle coupling assembly(606). FIGS. 7K-7M show the filter disc (401) accepting the syringe (34)and being displaced down below the needle coupling assembly (606) as theneedle coupling assembly (606) is installed onto the syringe (34).

FIG. 7N illustrates an alternative embodiment of a syringe cap (400)which has an external crown (407) that is larger in diameter than theinternal diameter (408) of the needle cover (63), preventing the capfrom being inadvertently inserted into the needle cover (63). Theexternal crown (407) may be integrally molded to the syringe cap, orattached by glue, welding, or press fit.

In certain circumstances, the staked needle configurations may bedesired for properties such as glue/adhesive free nature of thedescribed embodiments, silicone films which may be “baked on” due to thefact that adhesive-free staked coupling configurations may not be aslimiting on temperatures during processing, and also the tungsten-freenature of the aforementioned staked needle coupling configurations,wherein preferably there is no tungsten pin exposure for forming aneedle aperture, as the aforementioned staked coupling configurationsutilize Luer-style syringe bodies even for staked coupling, and may becompleted using tungsten-free rods. The needle retraction mechanism forthe embodiment depicted in FIGS. 7A-7E is similar to the correspondingmechanisms in the embodiments depicted in FIGS. 6A-6CC and describedabove.

Exemplary Needle Assembly Proximal Ends and Needle Retention Features

Other and exemplary safe injection systems and various needle assemblyproximal ends and needle retention features are described in Ser. No.62/416,102, which has been incorporated by reference herein.

As described above, the retraction force required to withdraw the needlespine assembly (76) through the stopper (36) and into the plungerhousing member (67, 69) is significant compared to the other forcesinvolved in the safe injection systems. For example, in one embodiment,the force required to unlatch the cantilevered latch members (616) torelease the needle spine assembly (76) is about 1.5 lbs. In thatembodiment, the force required for the needle assembly proximal end (50)to penetrate the stopper (36) and/or the needle retention feature (712)is about 2.5 lbs. The gap between the penetration force (2.5 lbs.) andthe unlatching force (1.5 lbs.) ensures that the needle assemblyproximal end (50) will not actuate the unlatching member (710) torelease the compressed energy-storing member (718) to retract the needlespine assembly (76) before the latch members (716) are unlatched. Oncepenetrated, the force to pull the needle spine assembly (76) through thestopper (36) and into at least a portion of the plunger assembly isconfigured to be about 2 lbs. In other embodiments, this needleretraction force is between about 1 lbs. and about 7 lbs. This forcedepends upon the thickness of the rubber which makes up the distal endof the stopper (36), and the geometry of the needle spine assembly (76).Further, for the staked type syringe, the needle tip (48) is penetratedinto the protective cap (63), which can be constructed of a rubbermaterial, for storage of the drug and to prevent leakage of the drug outof the id of the needle tip (48). Upon removal of the protective cap(63), pulling the protective cap (63) distally imparts a distallydirected force on the needle tip (48) from the friction between theneedle cap (63) and the needle tip (48), in a direction which wouldattempt to unlock the needle tip (48). Typically, the protective cap(63) imparts between 0.25 lbs. and 1.0 lb. of force on the needle spineassembly (76) during removal of the cap (63). The needle latch (612) andthe cantilever members (616) provide a force to resist unlocking theneedle spine assembly (76) during removal of the protective cap (63).

When unlatched, the compressed energy-storing member (718) is configuredto generate a needle retraction force greater than the force required topull the needle spine assembly (76) through the stopper (36). In oneembodiment, the required needle retraction force is about 3 lbs. Inother embodiments, this needle retraction force is about between about 2lbs. and about 10 lbs. This needle retraction force must be supported bythe coupling interaction between the needle assembly proximal end (50)and the needle retention feature (712). The ratio between the needlepenetration force and the needle retraction force is defined herein as apenetration/retraction force ratio. The various needle assembly proximalends (50) and needle retention features (712) described herein areconfigured to achieve this sizable force differential/ratio in theproximal (insertion/penetration) and distal (retraction) directions.

A. Three-Dimensional Arrowhead Needle Assembly Proximal End andCorresponding Needle Retention Feature

FIGS. 8A-8K depict a needle assembly proximal end (50) and acorresponding needle retention feature (712) according to oneembodiment. As shown in FIGS. 8B (perspective view) and 8C (longitudinalcross-sectional view), the most proximal end (84) of the needle assemblyproximal end (50) forms a 3-D arrowhead shape (84). The 3-D arrowheadshape (84) extends proximally from an elongate needle proximal portion(102) of the needle assembly proximal end (50). The 3-D arrowhead shape(84) has an annular distally facing surface (104), a substantiallyconstant diameter surface (106), and a proximally directed taperingsurface (108). The proximally directed tapering surface (108) defines aproximally pointed cone that ends in a proximal tip (110).

The elongate needle proximal portion (102) has a substantially constantfirst cross-sectional diameter that abruptly expands to a greater secondcross-sectional diameter at the annular distally facing surface (104).The substantially constant diameter surface (106) extends proximallyfrom the annular distally facing surface (104), and has the secondcross-sectional diameter. The proximally directed tapering surface (108)extends proximally from the substantially constant diameter surface(106), and tapers down from the second cross-sectional diameter. Theproximally directed tapering surface (108) tapers down to the proximaltip (110), which has a third cross-sectional diameter that is less thanthe first and second cross-sectional diameters. While the 3-D arrowheadshape (84) depicted in FIGS. 8A-8K includes a substantially constantdiameter surface (106), this feature is optional and other embodimentsmay transition directly from the annular distally facing surface (104)to the proximally directed tapering surface (108). The annular distallyfacing surface (104) is shown encompassing a full 360 degrees around the3-D arrowhead shape. (84). In alternative embodiments, the annulardistally facing surface may be an interrupted surface (e.g., notencompass a full 360 degrees).

The cone shape of the 3-D arrowhead shape (84) facilitates insertion ofthe 3-D arrowhead shape (84) into the needle retention feature (712), asshown in FIGS. 8F to 8I. The annular distally facing surface (104)facilitates an interaction between the 3-D arrowhead shape (84) and theneedle retention feature (712) that prevents distal movement of the 3-Darrowhead shape (84) relative to the needle retention feature (712). Theneedle retention feature (712) also includes various parts thatfacilitate coupling of the 3-D arrowhead shape (84) and the needleretention feature (712).

Referring to FIGS. 8J-8K, alternative tapering surface geometries areshown. The proximally directed tapering surface(s) (108) define aproximally pointed geometry that may be constructed of a series offacets (109). Two, three, or more generally proximally facing facets(109) may be used to form the distal end of the 3-D arrowhead shape (84)such that it ends in a proximal tip (110), which may be a point, anarcuate, straight line, etc. The edges where these facets come togethermay be sharp to facilitate cutting and dilating of the rubber stopper(36) during piercing of the stopper during injection. Alternatively, theedges between the facets may be smoothed to dilate the rubber stopperwithout cutting during piercing of the stopper during injection.

As shown in FIGS. 8D and 8E, the needle retention feature (712) includesa plurality of (i.e., two) latching members (112). The latching members(112) are circumferentially separated by a plurality of (i.e., two)longitudinally extending slots (113). The latching members (112) extendproximally from a rigid ring (115) and pivot about the rigid ring (115)so that each latching member (112) functions as a “living hinge.” Eachlatching member has an arcuate cross-sectional geometry (see FIGS. 8Fand 8G). Together, the latching members (112), the longitudinallyextending slots (113), and the rigid ring (115) define a proximallydirected funnel-shaped receiving member that guides the 3-D arrowheadshape (84) into the needle retention feature (712).

FIGS. 8F to 8I show the needle proximal end (50), the needle spineassembly (76) including the needle proximal end (50), before (FIGS. 8Fand 8H) and after (FIGS. 8G and 8I) coupling to the needle retentionmember (712) using the 3-D arrowhead shape (84). As shown in FIG. 8H,the proximal tip (110) is sized to fit through a central opening (117)defined by the latching members (112) in the receiving member. As the3-D arrowhead shape (84) moves proximally through the central opening(117) and into the needle retention feature (712), the tapering surface(108) moves the plurality of latching members (112) away from each otherand enlarges the central opening (117) so that the 3-D arrowhead shape(84) can pass therethrough. During the transformation into this “openconfiguration” of the receiving member, the plurality of latchingmembers (112) pivot about the rigid ring (115) to enlarge the centralopening (117). After the 3-D arrowhead shape (84) has passed through thecentral opening (117) and into the needle retention feature (712), theresilience of the latching members (112) moves the latching members(112) toward each, reducing the size of the central opening (117) suchthat the 3-D arrowhead shape (84) cannot pass therethrough. In this“resting configuration” of the receiving member, the annular distallyfacing surface (104) of the 3-D arrowhead shape (84) interfere with aninterior surface of the latching members (112) to prevent distalmovement of the 3-D arrowhead shape (84) relative to the needleretention feature (712), as shown in FIGS. 8G and 8I.

The latching members (112) can be made of an elastically deformablematerial (e.g., a polymer, or a metal) such that the central opening(117) defined by the latching members (112) in the receiving member canbe enlarged to allow the 3-D arrowhead shape (84) to pass therethroughin a proximal direction. The living hinges of the latching members (112)may be configured to be operated by elastic deformation. For example,the latching members (112) may elastically deform upon insertion of the3-D arrowhead shape (84) to allow for penetration at a sufficiently lowforce as not to be noticed by the user. The force transmitted by therelative movement of the latching members (112) and the 3-D arrowheadshape (84) generates a moment about the rigid ring (115), whichelastically deforms the latching members (112) from the restingconfiguration to the open configuration. After insertion of the 3-Darrowhead shape (84), the latching members (112) are configured toreturn (because of the elastic deformation) to the resting configurationto resist pullout of the needle spine assembly (76) from the needleretention feature (712) at a force sufficiently high to allow for needleretraction through the stopper (36) and into the plunger housing member(67).

The respective three-dimensional shapes of the 3-D arrowhead shape (84)and the latching members (112) conform to each other such that theirinteraction couples the needle assembly proximal end (50) and the needleretention feature (712) and prevents distal movement of the needleassembly proximal end (50) relative to the needle retention feature(712). The three-dimensional shapes form a more secure connection whileminimizing slippage of the needle assembly proximal end (50) relative tothe needle retention feature (712). As shown in FIGS. 8G and 8I, theannular distally facing surface (104) of the 3-D arrowhead shape (84)engages both of the latching members (112) in their restingconfiguration, thereby coupling the needle retention feature (712) andthe needle spine assembly (76) with respect to proximal movement alongthe longitudinal axis of the needle spine assembly (76) by increasingthe surface area contacted between the 3-D arrowhead shape (84) and theneedle retention feature (712). The conversion of the latching members(112) between the open configuration and the resting configurationallows the needle assembly proximal end (50) and the correspondingneedle retention feature (712) to have the insertion force/retractionforce differential/ratio required for operation of the safe injectionsystem.

B. Other Needle Retention Features for Use with Three-DimensionalArrowhead Needle Assembly Proximal End

While the embodiment depicted in FIGS. 8A-8K include needle retentionfeature (712) having two latching members (112), other embodiments mayincluding needle retention feature (712) having different numbers and/orconfigurations of latching members (112). Other embodiments of safetyinjection systems include needle retention feature (712) havingelastically deformable latching members (112) to move between a restingconfiguration and an open configuration. In the open configuration, theneedle retention feature (712) is configured such that the 3-D arrowheadshape (84), or other similar shaped needle most proximal end (84), canbe inserted into the needle retention feature (712) with relatively lowforce. In the resting configuration, the needle retention feature (712)is configured such that the 3-D arrowhead shape (84), or other similarshaped needle most proximal end (84), remains coupled to the needleretention feature (712) under relatively high retracting/separatingforce. The structure of the 3-D arrowhead shape (84) and itscorresponding needle retention feature (712) therefore achieves theinsertion force/retraction force differential/ratio required for thesafe injection system.

FIGS. 9A and 9B depict a needle retention feature (712) according toanother embodiment. The needle retention feature (712) includes aplurality of (i.e., four) latching members (112). The latching members(112) are circumferentially separated by a plurality of (i.e., four)longitudinally extending slots (113). The latching members (112) extendproximally from a rigid ring (115) and pivot about the rigid ring (115)so that each latching member (112) functions as a “living hinge.” Eachlatching member has an arcuate cross-sectional geometry. Together, thelatching members (112), the longitudinally extending slots (113), andthe rigid ring (115) define a proximally directed funnel-shapedreceiving member that guides the 3-D arrowhead shape (84) into theneedle retention feature (712). While two or four latching memberconfigurations have been shown, it is possible to construct a needleretention feature with other numbers of latching features.

FIGS. 10A and 10B depict a needle retention feature (712) according tostill another embodiment. The needle retention feature (712) includes aplurality of (i.e., four) latching members (112). The latching members(112) are circumferentially separated by a plurality of (i.e., four)longitudinally extending slots (113). The four longitudinally extendingslots (113) in the needle retention feature (712) depicted in FIGS. 10Aand 10B are narrower than the corresponding longitudinally extendingslots (113) in the needle retention feature (712) depicted in FIGS. 9Aand 9B. Further, the exterior of the distal end of the needle retentionfeature (712) depicted in FIGS. 10A and 10B includes four planarsurfaces, while the exterior of the distal end of the needle retentionfeature (712) depicted in FIGS. 9A and 9B includes only curved surfaces.The latching members (112) extend proximally from a rigid ring (115) andpivot about the rigid ring (115) so that each latching member (112)functions as a “living hinge.” Each latching member has an arcuatecross-sectional geometry. Together, the latching members (112), thelongitudinally extending slots (113), and the rigid ring (115) define aproximally directed funnel-shaped receiving member that guides the 3-Darrowhead shape (84) into the needle retention feature (712).

Exemplary Dual-Chamber Safe Injection System

The needle assembly proximal ends (50), most proximal ends/harpoons(84), and needle retention features (712) described herein can also beused with dual-chamber safe injection systems. Referring to FIGS.11A-110, various aspects of an embodiment designed to facilitateinjection of multi-part medications are illustrated, wherein two or moremedication components are combined to form an injection combination orsolution shortly before delivery into the patient. In one embodiment, aliquid diluent (252) may be combined with a substantially non-liquidform (254), such as a powdered form, of a drug agent, such as afreeze-dried or lyophilized drug component, shortly before injection.The embodiment depicted in FIGS. 11A-110 is a dual-chamberconfiguration, wherein two chambers within the same syringe body (34)are utilized to carry, mix, and inject an injection solution. Examplesof such dual-chamber safe injection systems are described in U.S. patentapplication Ser. Nos. 14/696,342 and 62/431,382, the contents of whichhave been incorporated herein by reference.

Referring to FIGS. 11A-11B, a perspective and a longitudinal crosssection view of a dual chamber safe injection system are shown, with aconventional off-the-shelf pre-filled syringe body (34) withconventional proximal and distal stopper members (32, 36) disposedtherein. The proximal and distal stopper members (32, 36) together withthe syringe body (34) define proximal and distal medicine chambers (40,42). The proximal and distal stopper members (36, 37) occlude theproximal and distal ends of the proximal medicine chamber (40). Thedistal stopper member (36) occludes a proximal end of the distalmedicine chamber (42). A needle coupling assembly (606) is disposed atthe distal end of the distal medicine chamber (42) with a needle covermember (63) installed for storage. The dual chamber safe injectionsystem controls transfer of a first medicine component from the proximalmedicine chamber (40) to the distal medicine chamber (42) and exit of amixed/combined medicine from the distal medicine chamber (42) distallysubject to sequential insertion of a plunger assembly relative to thesyringe body (34) to various degrees by a user. The plunger assemblyincludes the proximal stopper member (32), a plunger housing member (69)and a plunger manipulation interface (128). The first medicine componentlocated in the proximal medicine chamber (40) may be a liquid such asaqueous or oil based medicine solutions, a gel, or the first medicinecomponent may be a diluent for mixing with the second medicine componentin the distal medicine chamber (42). The second medicine component inthe distal medicine chamber (42) may be a dry form medicine such as apowder, microspheres, emulsion, lyophilized or freeze dried medicine, ora cake like solid medicine. The second medicine component in the distalmedicine chamber (42) may also be a liquid that mixes with the firstmedicine component from the proximal medicine chamber (40).

The dual chamber safe injection system has a staked needle configurationwherein upon presentation to the user, a needle assembly, comprising aneedle coupling assembly (606), a needle distal end/tip (48), a needlejoining member (83—see, for example, FIG. 6E), and a needle proximal end(50) are mounted in position ready for injection after removal of aneedle cover member (63) which may comprise an elastomeric sealingmaterial on its internal surface to interface with the needle distal end(48) or the distal housing portion (610) during storage. Alternatively,the needle cover member (63) may comprise a vent (not shown) forallowing pressure resulting from the transfer and mixing of the medicinecomponents to escape from inside the syringe body (34) while preventingcontamination from entering the syringe body (34). While, the stakedneedle is depicted as mounted in position, the staked needle may beremovably coupled to the syringe body (34) using a Luer interface (notshown), with the proximal end (50) of the needle member extendingthrough the Luer interface and into the distal medicine chamber (42).

In the embodiment depicted in FIGS. 11A-110, a significant portion ofthe safe needle retraction hardware resides within a plunger housing(44), similar to the embodiment depicted in FIGS. 6A-6CC and describedabove. Further, the embodiment depicted in FIGS. 11A-110 can include aproximal needle end (50) and a needle retention feature (712), similarto the embodiments depicted FIGS. 6A-10B, to couple the needle spineassembly (76) to the needle retention feature (712). Moreover, theembodiment depicted in FIGS. 11A-110 can include a needle latch (616)and a necked-down or radially-reduced portion (111) of the needle spineassembly (76), similar to the embodiment depicted FIGS. 6A-6CC, toselectively prevent proximal movement of the needle spine assembly (76)relative to the needle coupling assembly/hub (606).

Returning to FIGS. 11A-11B, for example, a dual chamber safe injectionsystem comprises a conventional syringe body (34), fitted with proximaland distal plunger tips (32, 36) configured to be pierced by proximalneedle end (50) at an appropriate time to assist with medicationtransfer and needle retraction; the proximal plunger tip (32) is coupledto a plunger manipulation interface (128) by a plunger housing member(69) defining an inner volume occupied by various other portions of theassembly, as described below, which are configured to retract the needleat an appropriate time in the sequence of use. A needle couplingassembly (606) described above is included in the illustratedembodiment; other embodiments may comprise Luer type needle assemblycoupling to the syringe body (34). The depicted version of the syringebody (34) comprises a small diameter flange (33) coupled to theconventional integral syringe flange (38), which has a geometry that maybe manipulated or interfaced between the index and middle fingers of theoperator, for example, while a thumb of the operator is interfaced withthe plunger manipulation interface (128). FIGS. 11A and 11B illustratepre-utilization assemblies with a needle cover (63) in place tomechanically isolate the distal needle end (48). The needle cover (63)may be removed and the assembly readied for injection into a patient.

As shown in FIG. 11C, the proximal and distal stopper members (32, 36),together with the syringe body (34) define a proximal medicine chamber(40) with the dual chamber safe injection system in a transportconfiguration. In particular, because the distal end of the proximalstopper member (32) and the proximal end of the distal stopper member(36) are each coated with a lubricious polymer coating (e.g., PTFE), thefirst and second polymer coatings of the proximal and distal stoppermembers (32, 36), together with the syringe body (34) define theproximal medicine chamber (40). The lubricious polymer coating alsoserves to isolate the rubber of the proximal and distal stopper members(32, 36) from the medicine and medicine components. The proximal anddistal stopper members (32, 36) may be oriented as shown in FIG. 11C orthe distal stopper may be flipped so the lubricious coating faces thedistal medicine chamber (42) such that the second drug component in thedistal medicine chamber (42) contacts the lubricious coating forstorage. In the case of the flipped stopper, the needle guide assemblymay be held in place by a centering guide disc shown and described inU.S. patent application Ser. No. 62/431,382, the contents of which havebeen incorporated herein by reference. In an alternative embodiment, theproximal and distal stopper members (32, 36) are rubber without alubricious polymer coating.

Because the proximal stopper member (32) is coupled to the plungerhousing member (69) and the plunger manipulation interface (128),distally directed force applied to the plunger manipulation interface(128) will move the proximal stopper member (32) in a distal directionrelative to the syringe body (34). Because the proximal medicine chamber(40) is prefilled with a substantially incompressible liquid and becausein the transport configuration depicted in FIG. 11C there is no path forthe incompressible liquid to escape the proximal medicine chamber (40),distal movement of the proximal stopper member (32) results in distalmovement of the distal stopper member (36).

As shown in FIG. 11D, after the distal stopper member (36) has beenmoved distally relative to the syringe body (34) to place the dualchamber safe injection system into a transfer configuration, the needleproximal end (50) has pierced the distal stopper member (36) andpartially entered the proximal medicine chamber (40). Indeed transferconfiguration depicted in FIG. 11D, a transfer pipe (46) portion of theneedle proximal end (50) forms a fluid path between the proximal anddistal medicine chambers (40, 42). The transfer pipe (46) includes aplurality of proximal openings (270) and a middle opening (266). Thetransfer pipe (46) is hollow and forms the fluid path between theproximal most proximal opening (270), which is disposed in the proximalmedicine chamber (40) and the middle opening (266), which is disposed inthe distal medicine chamber (42). While the transfer pipe (46) depictedin FIGS. 11D-11E includes four proximal openings (270) and a middleopening (266), other embodiments may have more or fewer proximal andmiddle openings. Increasing the number of proximal and middle openingsincreases the tolerance for positioning of the transfer pipe (46)/needleproximal end (50) relative to the distal stopper member (42) whilemaintaining an open fluid path between the proximal and distal medicinechambers (40, 42).

After the dual chamber safe injection system is in the transferconfiguration as depicted in FIG. 11D, as more force is applied to theplunger manipulation interface (128), the proximal stopper member (32)can move proximally relative to the distal stopper member (36), becauseliquid in the proximal medicine chamber (40) can move to the distalmedicine chamber (42) via the transfer pipe (46). As the liquid in theproximal medicine chamber (40) is transferred to the distal medicinechamber (42), the liquid can mix with the contents of the distalmedicine chamber (42). In the embodiment depicted in FIGS. 11A and 11B,the liquid in the proximal medicine chamber (40) in the transportconfiguration (FIGS. 11A-11C) is a first, liquid component of amedicine. The content of the distal medicine chamber (42) is a secondcomponent of the medicine. Transferring the liquid from the proximalmedicine chamber (40) to the distal medicine chamber (42) mixes thefirst and second components to form a ready to inject medicine.

As shown in FIG. 11E, continued force applied to the plungermanipulation interface (128) from the transfer configuration completesthe transfer of liquids from the proximal medicine chamber (40) to thedistal medicine chamber (42) and places the dual chamber safe injectionsystem into a mixed configuration. In the mix configuration the firstand second components are mixed and the medicine is ready to inject intoa patient. The mixed medicine is disposed in the distal medicine chamber(42). Distal movement of the proximal stopper member (32) relative tothe distal stopper member (36) has placed the proximal and distalstopper members (32, 36) into contact and reduced the volume of theproximal medicine chamber (40) to substantially zero. Accordingly,continued force applied to the plunger manipulation interface (128)moves the proximal and distal stopper members (32, 36) together andejects the mixed medicine through a distal opening/outflow port at thedistal end of the transfer pipe (46) and out of the distal medicinechamber (42) through the needle and into the patient. The transfer pipe(46) also contains a lumen plug (268) disposed between the proximal endand the distal end of the interior lumen. The lumen plug (268) blocksthe mixed medicine from being forced retrograde through the flowchannels during injection of the mixed medicine into the patient.

Exemplary Dual Chamber Safe Injection Systems with Luer Connectors

FIGS. 12A-13G depict various dual chamber safe injection systems withLuer connectors (114) at their distal ends. For use with a cartridge(134), as described in described in U.S. patent application Ser. No.62/431,382, the contents of which have been incorporated herein byreference, a female Luer lock connector (114) with internal threads isattached to a collet (104) and a sleeve (106) to form a needle hub(116). The collet (104) and the sleeve (106) can be used to attach theneedle hub (116) to the distal end of the cartridge (134) for attachingthe needle coupling assembly (606) to the cartridge (134). The distalend of the female Luer lock connector (114) is temporarily sealed with aremovable Luer cap (118). Once the needle hub (116) is attached to thecartridge (134), the Luer cap (118) can be removed and a Luer needle(120) may be attached to the needle hub (116) and the dual chamber safeinjection system using the female Luer lock connector (114) as shown inFIG. 12E.

After the Luer needle (120) is attached to the needle hub (116) and thedual chamber safe injection system, the system is ready to transport,store, and use (i.e., mixing, injecting and automatic retraction)following steps exactly identical to those depicted for the dual chambersafe injection system with the syringe in FIGS. 11A-11E. Mixing,injection and retraction steps are depicted for a dual chamber safeinjection system with a female Luer lock connector (114) in FIGS.12A-12H.

Using a Luer lock connector (114) and a replaceable Luer needle (120)leads to additional complications. A proximal end (122) of the Luerneedle (120) must be connected to a transfer pipe (46) while connectingthe Luer needle (120) to the female Luer lock connector (114) on theneedle hub (116). During attachment of the Luer needle (120), a needlecover member (63) is configured to guide the Luer needle (120) into theneedle hub (116), thereby aligning the proximal end (122) of the Luerneedle (120) with the transfer pipe (46) to improve connection betweenthe Luer needle (120) and the transfer pipe (46). Guiding needle covermembers are described in U.S. patent application Ser. No. 14/696,342,which was previously incorporated by reference herein. FIGS. 121-12K and13C-13F show the connection between the Luer needle (120) and thetransfer pipe (46). As seen in these figures, the male Luer lockconnector (124) with external threads on the Luer needle (120) guide theproximal end (122) of the Luer needle (120) into the transfer pipe (46)for a secure connection there between. The threads on the Luer lockconnectors (114, 124) force the proximal end (122) of the Luer needle(120) into the transfer pipe (46) for a hermetic press fit or snap fit.The distal end of the transfer pipe (46) also includes a latch groove(111) configured to interact with one or more cantilevered latch members(616) to prevent the transfer pipe from being forced proximally into thecartridge (134) during attachment of the Luer needle (120).

Further, using a Luer lock connector (114) and a replaceable Luer needle(120) in a dual chamber safe injection system requires a secureconnection/interface between the needle distal tip (48) and the needlejoining member (83), as well as the connection/interface that has beenformed between the proximal needle end (50) and the needle retentionfeatures (712), which is described above. Like the more proximalconnection between the proximal needle end (50) and the needle retentionfeatures (712), the connection between the needle distal tip (48) andthe needle joining member (83) must be secure enough to retract theneedle spine assembly (76) through the stopper member/plunger tip (36),without losing “grip” on the needle distal tip (48). The embodimentsdescribed herein address this issue using a proximal end connector (212)on the needle distal tip (48) and a distal end receiving member (232) onthe needle joining member (83).

As shown in FIGS. 14A and 14B, the needle distal tip (48), e.g., of areplaceable Luer needle, includes a proximal end connector (212). Theproximal and connector (212) includes a reduced diameter portion (214),a seal holding portion (216) proximal of the reduced diameter portion(214), and a proximally directed tapering surface (218). As shown inFIGS. 14C-14D and 14G-14H, the distal end receiving member (232)includes a plurality of (i.e., two) latching members (234)circumferentially separated by a plurality of (i.e., two) longitudinallyextending slots (236). The latching members (234) of the distal endreceiving member (232) include respective proximally directed taperingsurfaces (238), which form a proximally directed funnel that facilitatesinsertion of a proximal end of the proximal end connector (212) into thedistal end receiving member (232). Like the needle joining member (83)depicted in FIG. 6E, then needle joining member (83) of the embodimentdepicted in FIGS. 12A-13G also include a necked-down or radially-reducedportion (111) that is configured to interface with a latching member(612) to selectively prevent proximal movement of the needle spineassembly (76).

The proximally directed tapering surface (218) of the proximal endconnector (212) (of the needle distal tip (48)) forms a partial coneshape that facilitates insertion of the proximal end connector (212)into the distal end receiving member (232), as shown in FIGS. 14D, and14G-14H. The reduced diameter portion (214) of the proximal endconnector (212) facilitates an interaction between the proximal endconnector (212) and the distal end receiving member (232) that preventsaxial movement of the proximal end connector (212) relative to thedistal end receiving member (232). The seal holding portion (216) of theproximal end connector (212) is configured to hold one or more (e.g.,two) O-rings (220) to form a fluid tight between an outer surface of theproximal end connector (212) and an inner surface of the distal endreceiving member (232), as shown in FIGS. 14C, 14D, and 14H. The fluidtight seal prevents liquid being injected through the needle spineassembly (76) from leaking under pressure through the connection betweenthe needle distal tip (48) and the needle joining member (83).

The distal end receiving member (232) of the needle joining member (83)also includes various parts that facilitate coupling of the proximal endconnector (212) and the distal end receiving member (232). As shown inFIGS. 14C-14D and 14G-14H, the distal end receiving member (232)includes a plurality of (i.e., two) latching members (234). The latchingmembers (234) are circumferentially separated by a plurality of (i.e.,two) longitudinally extending slots (236). The latching members (234)extend distally from the distal end receiving member (232) of the needlejoining member (83). The latching members (234) pivot about theirconnection to the distal end receiving member (232) of the needlejoining member (83) so that each latching member (112) functions as a“living hinge.” Each latching member has an arcuate cross-sectionalgeometry (see FIGS. 14C and 14D).

FIGS. 14C to 14D show the proximal end connector (212) on the needledistal tip (48) before and after coupling to the distal end receivingmember (232) on the needle joining member (83). As shown in FIG. 14C, aproximal tip (222) of the proximal end connector (212) is sized to fitthrough a central opening (238) defined by the latching members (234) inthe distal end receiving member (232). As a proximal portion (i.e., fromthe proximal tip (222) to the reduced diameter portion (214)) of theproximal end connector (212) moves proximally through the centralopening (238) and into the distal end receiving member (232), thetapering surface (218) moves the plurality of latching members (234)away from each other and enlarges the central opening (238) so that theproximal portion the proximal end connector (212) can pass therethrough.During the transformation into this “open configuration” of the distalend receiving member (232), the plurality of latching members (234)pivot about their connection to the distal end receiving member (232) ofthe needle joining member (83) to enlarge the central opening (238).After the portion of proximal end connector (212) has passed through thecentral opening (238) and into the distal end receiving member (232),the resilience of the latching members (234) moves the latching members(234) toward each, reducing the size of the central opening (238) andmoving respective distal portions of the latching members (234) into thereduced diameter portion (214) such that the proximal end connector(212) cannot move axially relative to the distal end receiving member(232). In this “resting configuration” of the distal end receivingmember (232), the distal portions of the latching members (234)interfere with interior surfaces of the reduced diameter portion (214)to prevent axial movement of the proximal end connector (212) relativeto the distal end receiving member (232), as shown in FIGS. 14D, 14G,and 14H.

The latching members (234) can be made of an elastically deformablematerial (e.g., a metal or a polymer) such that the central opening(238) defined by the latching members (234) in the distal end receivingmember (232) can be enlarged to allow the portion of proximal endconnector (212) to pass therethrough in a proximal direction. The livinghinges of the latching members (234) may be configured to be operated byelastic deformation. For example, the latching members (234) mayelastically deform upon insertion of the portion of the proximal endconnector (212) to allow for penetration. The force transmitted by therelative movement of the proximally directed tapering surfaces (238) ofthe latching members (234) and proximally directed tapering surface(218) of the proximal end connector (212) generates a moment about theconnection of the latching members (234) to the distal end receivingmember (232) of the needle joining member (83). This generated momentelastically deforms the latching members (234) from the restingconfiguration to the open configuration. After insertion of the portionof the proximal end connector (212), the latching members (234) areconfigured to return (because of the elastic deformation) to the restingconfiguration to resist axial movement of the needle distal tip (48)relative to the needle joining member (83) at a force sufficiently highto allow for needle retraction of the needle spine assembly (76),including the needle distal tip (48) through the stopper (36) and intothe plunger housing member (67).

The respective three-dimensional shapes of the proximal end connector(212) and the latching members (234) conform to each other such thattheir interaction couples proximal end connector (212) and the distalend receiving member (232), and prevents distal movement of the needledistal tip (48) and the needle joining member (83). Thethree-dimensional shapes form a more secure connection while minimizingslippage of the distal movement of the needle distal tip (48) relativeto the needle joining member (83). As shown in FIGS. 14G-14H, theproximal ends of the respective latching members (234) engages thereduced diameter portion (214) of the proximal end connector (212) intheir resting configuration, thereby coupling the distal end receivingmember (232) and the proximal end connector (212) with respect to axialmovement along the longitudinal axis of the needle spine assembly (76)by an interference fit. The conversion of the latching members 63 (234)between the open configuration and the resting configuration allows theproximal end connector (212) and the corresponding distal end receivingmember (232) to withstand the retraction force required for operation ofthe safe injection system.

FIGS. 141 to 15J depict the proximal end connector (212) and the distalend receiving member (232) in an injection system including areplaceable Luer needle (120). The injection system depicted in FIGS.141 to 15J is also a dual chamber injection system. The distal needletip connectors described above are particularly suited for dual stopperdual chamber injection systems like those depicted herein, because theneedle distal tip (48) may be pulled through a plurality of stoppermembers (32, 36) in such systems. As used in this embodiment, theproximal end connector (212) and the distal end receiving member (232)allow a reusable Luer needle (120) to be connected to a syringe and/orcartridge having a corresponding Luer connector as described above,while forming a sufficiently secure connection between the needle distaltip (48) and the needle joining member (83) to allow the safe injectionsystem to withdraw the needle spine assembly (76), including the needledistal tip (48), at least partially into the plunger after injection.The outside diameter of the needle spine assembly (76) is configured tobe generally streamlined, smooth, and/or of a constant diameter so as toprovide minimal resistance to the retraction of the needle distal tip(48) into the plunger after injection. Such a system is especiallyuseful in dual chamber safe injection systems including Luer connectors,as described above.

Hollow Three-Dimensional Arrowhead Needle Assembly Proximal End

FIGS. 17-21 depict needle assembly proximal ends (50) according twoother embodiments. As shown in FIGS. 17 (perspective view) and 18-21(longitudinal cross-sectional views), the most proximal end (84) of afirst needle assembly proximal end (50) forms a hollow 3-D arrowheadshape (84), with a shape similar to the solid 3-D arrowhead shape (84)depicted in FIGS. 8A-8C. The hollow 3-D arrowhead shape (84) extendsproximally from an elongate needle proximal portion (102) of the needleassembly proximal end (50). The hollow 3-D arrowhead shape (84) has anannular distally facing surface (104), a substantially constant diametersurface (106), and a proximally directed tapering surface (108). Theproximally directed tapering surface (108) defines a proximally pointedcut-off cone that ends in a proximal tip (110).

The elongate needle proximal portion (102) has a substantially constantfirst cross-sectional diameter that abruptly expands to a greater secondcross-sectional diameter at the annular distally facing surface (104).The substantially constant diameter surface (106) extends proximallyfrom the annular distally facing surface (104), and has the secondcross-sectional diameter. The proximally directed tapering surface (108)extends proximally from the substantially constant diameter surface(106), and tapers down from the second cross-sectional diameter. Theproximally directed tapering surface (108) tapers down to the proximaltip (110), which has a third cross-sectional diameter that is less thanthe first and second cross-sectional diameters. While the hollow 3-Darrowhead shapes (84) depicted in FIGS. 17-21 includes a substantiallyconstant diameter surface (106), this feature is optional and otherembodiments may transition directly from the annular distally facingsurface (104) to the proximally directed tapering surface (108). Theannular distally facing surface (104) is shown encompassing a full 360degrees around the 3-D arrowhead shape (84). In alternative embodiments,the annular distally facing surface may be an interrupted surface (e.g.,not encompass a full 360 degrees).

The cut-off cone shape of the hollow 3-D arrowhead shape (84)facilitates insertion of the hollow 3-D arrowhead shape (84) into theneedle retention feature (712, see FIG. 20). See FIGS. 8D to 8I and thecorresponding description for a similar 3-D arrowhead shape embodiment.The annular distally facing surface (104) facilitates an interactionbetween the hollow 3-D arrowhead shape (84) and the needle retentionfeature (712) that prevents distal movement of the hollow 3-D arrowheadshape (84) relative to the needle retention feature (712). The needleretention feature (712) also includes various parts that facilitatecoupling of the hollow 3-D arrowhead shape (84) and the needle retentionfeature (712), as described above.

A difference between the hollow 3-D arrowhead shapes (84) depicted inFIGS. 17-21 and the solid 3-D arrowhead shape (84) depicted in FIGS.8A-8C is that the hollow 3-D arrowhead shapes (84) depicted in FIGS.17-21 have a hollow elongate needle proximal portion (102) and a hollow3-D arrowhead shape (84) with various openings formed thereon. Theproximal tip (110) defines a proximal opening (140), which allowscommunication between an outside of the hollow 3-D arrowhead shape (84)and an interior thereof. The hollow elongate needle proximal portion(102) defines a plurality (e.g., two) of side openings (142), whichallow communication between an outside of the hollow elongate needleproximal portion (102) and an interior thereof. The side openings (142)in the hollow elongate needle proximal portion (102) function similarlyto the proximal openings (270) in the transfer pipe (46) in FIGS.11C-11E. The needle joining member (83) defines a side opening (144),which allows communication between an outside of the needle joiningmember (83) and an interior thereof. The side opening (144) in theneedle joining member (83) function similarly to the middle opening(266) in the transfer pipe (46) in FIGS. 11C-11E. The hollow elongateneedle proximal portion (102) and the needle joining member (83) may beform from tubes with some rigidity (e.g., hypotubes).

The respective interiors of the hollow 3-D arrowhead shape (84), thehollow elongate needle proximal portion (102), and the needle joiningmember (83) are in fluid communication with each other. Accordingly, aliquid entering the proximal opening (140) in the hollow 3-D arrowheadshape (84) can travel distally along the respective interiors of thehollow 3-D arrowhead shape (84), the hollow elongate needle proximalportion (102), the needle joining member (83), and the needle distal tip(48) to exit a distal end of the needle spine assembly (76). As such,the needle assembly proximal end assemblies (50) with the hollow 3-Darrowhead shapes (84) depicted in FIGS. 17-21 facilitate transfer ofliquids from the proximal medicine chamber (40) to the distal medicinechamber (42) of a dual chamber safe injection system, such as thosedescribed herein and in U.S. Utility patent application filed on Nov. 1,2017 under attorney docket number CM.20012.00 and, entitled “SYSTEM ANDMETHOD FOR SAFETY SYRINGE,” the disclosure of which has been previouslyincorporated by reference herein.

While the proximal opening (140) in FIG. 17 is at the extreme distal endof the hollow 3-D arrowhead shape (84), in other embodiments, theproximal opening (140) can be anywhere on or adjacent to the hollow 3-Darrowhead shape (84). In one other embodiment (not shown), the proximalopening (140) is formed on the annular distally facing surface (104). Inembodiments where the proximal opening (140) is at least partiallyproximally facing, the edges of the hollow 3-D arrowhead shape (84) thatdefine the proximal opening (140) can be treated (e.g., sand-blasted) toblunt/minimize sharp edges, which may lead to coring/cutting of thedistal stopper member (36). Cutting the distal stopper member (36) canlead to fragments thereof being deposited in the injectable liquid,which is undesirable.

FIG. 18 depicts the hollow 3-D arrowhead shape (84) disposed in thedistal stopper member (36) without piercing the distal stopper member(36). As explained above, because the proximal stopper member (32, seeFIG. 20) is coupled to the plunger housing member (not shown) and theplunger manipulation interface (not shown), distally directed forceapplied to the plunger manipulation interface (not shown) will move theproximal stopper member (32) in a distal direction relative to thesyringe body (34). Because the proximal medicine chamber (40) isprefilled with a substantially incompressible liquid and because in thetransport configuration depicted in FIG. 18 there is no path for theincompressible liquid to escape the proximal medicine chamber (40),distal movement of the proximal stopper member (32) results in distalmovement of the distal stopper member (36).

FIG. 19 depicts the relative position of the needle assembly proximalend (50) (including the hollow 3-D arrowhead shape (84), the hollowelongate needle proximal portion (102), and the needle joining member(83)) and the distal stopper member (36) after the distal stopper member(36) has moved distally causing the hollow 3-D arrowhead shape (84) topierce the distal stopper member (36). A relatively small distalmovement of the distal stopper member (36) (e.g., approximately thethickness of a proximal end of the distal stopper member (36)) can startliquid flow through the proximal opening (140) in the hollow 3-Darrowhead shape (84). Minimizing distal motion of the distal stoppermember (36) during liquid transfer from the proximal medicine chamber(40) to the distal medicine chamber (42) maximizes the amount of liquidthat can be transferred to the distal medicine chamber (42).

FIG. 20 depicts the relative position of the needle assembly proximalend (50) (including the hollow 3-D arrowhead shape (84), the hollowelongate needle proximal portion (102), and the needle joining member(83)) and the proximal and distal stopper members (32, 36) after theproximal stopper member (32) has moved almost all the way to the distalstopper member (36), thereby transferring the majority of the liquidfrom the proximal medicine chamber (40) to the distal medicine chamber(42). As described above, distal movement of the proximal stopper member(32) is driven by continued application of distally directed force tothe plunger manipulation interface (not shown). Because the proximalopening (140) in the hollow 3-D arrowhead shape (84) is occluding by theproximal stopper member (32), liquid moves from the proximal medicinechamber (40) to the distal medicine chamber (42) through the sideopenings (142) in the hollow elongate needle proximal portion (102).

As shown in FIG. 20, the side opening (144) in the needle joining member(83) is almost occluded by the distal stopper member (36). To preventthe distal stopper member (36) from prematurely occluding the sideopening (144) in the needle joining member (83), the needle joiningmember (83) defines a proximal shoulder (146) that increases the forceneeded to move an elastic portion of the distal stopper member (36) overthe needle joining member (83). The side opening (144) is positioned onthe needle joining member (83) such that preventing the elastic portionof the distal stopper member (36) from moving over the needle joiningmember (83), prevents the distal stopper member (36) from occluding theside opening (144). However, then the proximal and distal stoppermembers (32, 36) are in contact, the continued application of distallydirected force to the plunger manipulation interface (not shown)overcomes the interference from the proximal shoulder (146) and occludesthe side opening (144) in the needle joining member (83), therebyprevent backflow of liquid from the distal medicine chamber (42) to theproximal medicine chamber (40). This configuration of the needleassembly proximal end (50) (including the hollow 3-D arrowhead shape(84), the hollow elongate needle proximal portion (102), and the needlejoining member (83)) and the proximal and distal stopper members (32,36) maximizes liquid transfer from the proximal medicine chamber (40) tothe distal medicine chamber (42).

FIG. 21 depicts a hollow 3-D arrowhead shape (84) according to anotherembodiment. In this embodiment, the extreme proximal end of the hollow3-D arrowhead shape (84) is welded shut and rounded. This moves theproximal opening (140) to the proximal most opening on the elongateneedle proximal portion (102). This change requires the elongate needleproximal portion (102) to penetrate the distal stopper member (36)slightly farther to start liquid transfer compared to the hollow 3-Darrowhead shape (84) depicted in FIG. 17. However, this configurationminimizes the coring/cutting of the distal stopper member (36) problemdescribed above.

The needle assembly proximal end assemblies (50) with the hollow 3-Darrowhead shapes (84) depicted in FIGS. 17-21 and described abovefacilitate transfer of liquids from the proximal medicine chamber (40)to the distal medicine chamber (42) of a dual chamber safe injectionsystem while also facilitating coupling of the needle assembly proximalend (50) to the needle retention feature (712) for retraction of theneedle spine assembly (including the needle assembly proximal end (50))to a safe position as described above. The hollow 3-D arrowhead shape(84) provides a fluid path from the proximal opening (140) therein tothe side opening (144) in the needle joining member (83) for liquidtransfer with minimal distal stopper member (36) movement. Thismaximizes the volume of the distal medicine chamber (42) during liquidtransfer and mixing. The hollow 3-D arrowhead shape (84) also providesan annular distally facing surface (104) to securely couple the needlespine assembly (76) to the needle retention feature (712) needleretraction.

While the dual chamber safe injection system with Luer connectorembodiments depicted in FIGS. 11A-13G involve cartridges, Luerconnectors and the distal needle tip connectors described above can alsobe used with syringes and other dual chamber safe injection systems.Further, the distal needle tip connectors described above can also beused with single chamber safe cartridge injection systems, such as thesystem depicted in FIGS. 16A and 16B. The distal needle tip connectorsdescribed above are particularly suited for cartridge injection systems,because the needle distal tip (48) may be pulled through a plurality ofseals (e.g., backup seal (132) and cartridge seal (130)) in addition toa stopper member (not shown) in such systems.

Various exemplary embodiments of the invention are described herein.Reference is made to these examples in a non-limiting sense. They areprovided to illustrate more broadly applicable aspects of the invention.Various changes may be made to the invention described and equivalentsmay be substituted without departing from the true spirit and scope ofthe invention. In addition, many modifications may be made to adapt aparticular situation, material, composition of matter, process, processact(s) or step(s) to the objective(s), spirit or scope of the presentinvention. Further, as will be appreciated by those with skill in theart that each of the individual variations described and illustratedherein has discrete components and features which may be readilyseparated from or combined with the features of any of the other severalembodiments without departing from the scope or spirit of the presentinventions. All such modifications are intended to be within the scopeof claims associated with this disclosure.

Any of the devices described for carrying out the subject diagnostic orinterventional procedures may be provided in packaged combination foruse in executing such interventions. These supply “kits” may furtherinclude instructions for use and be packaged in sterile trays orcontainers as commonly employed for such purposes.

The invention includes methods that may be performed using the subjectdevices. The methods may comprise the act of providing such a suitabledevice. Such provision may be performed by the end user. In other words,the “providing” act merely requires the end user obtain, access,approach, position, set-up, activate, power-up or otherwise act toprovide the requisite device in the subject method. Methods recitedherein may be carried out in any order of the recited events which islogically possible, as well as in the recited order of events.

Exemplary aspects of the invention, together with details regardingmaterial selection and manufacture have been set forth above. As forother details of the present invention, these may be appreciated inconnection with the above-referenced patents and publications as well asgenerally known or appreciated by those with skill in the art. Forexample, one with skill in the art will appreciate that one or morelubricious coatings (e.g., hydrophilic polymers such aspolyvinylpyrrolidone-based compositions, fluoropolymers such astetrafluoroethylene, hydrophilic gel or silicones) may be used inconnection with various portions of the devices, such as relativelylarge interfacial surfaces of movably coupled parts, if desired, forexample, to facilitate low friction manipulation or advancement of suchobjects relative to other portions of the instrumentation or nearbytissue structures. The same may hold true with respect to method-basedaspects of the invention in terms of additional acts as commonly orlogically employed.

In addition, though the invention has been described in reference toseveral examples optionally incorporating various features, theinvention is not to be limited to that which is described or indicatedas contemplated with respect to each variation of the invention. Variouschanges may be made to the invention described and equivalents (whetherrecited herein or not included for the sake of some brevity) may besubstituted without departing from the true spirit and scope of theinvention. In addition, where a range of values is provided, it isunderstood that every intervening value, between the upper and lowerlimit of that range and any other stated or intervening value in thatstated range, is encompassed within the invention.

Also, it is contemplated that any optional feature of the inventivevariations described may be set forth and claimed independently, or incombination with any one or more of the features described herein.Reference to a singular item, includes the possibility that there areplural of the same items present. More specifically, as used herein andin claims associated hereto, the singular forms “a,” “an,” “said,” and“the” include plural referents unless the specifically stated otherwise.In other words, use of the articles allow for “at least one” of thesubject item in the description above as well as claims associated withthis disclosure. It is further noted that such claims may be drafted toexclude any optional element. As such, this statement is intended toserve as antecedent basis for use of such exclusive terminology as“solely,” “only” and the like in connection with the recitation of claimelements, or use of a “negative” limitation.

Without the use of such exclusive terminology, the term “comprising” inclaims associated with this disclosure shall allow for the inclusion ofany additional element—irrespective of whether a given number ofelements are enumerated in such claims, or the addition of a featurecould be regarded as transforming the nature of an element set forth insuch claims. Except as specifically defined herein, all technical andscientific terms used herein are to be given as broad a commonlyunderstood meaning as possible while maintaining claim validity.

The breadth of the present invention is not to be limited to theexamples provided and/or the subject specification, but rather only bythe scope of claim language associated with this disclosure.

1. A system for injecting, comprising: a syringe body defining aproximal opening and a distal needle interface; a plunger memberdefining a plunger interior and configured to be manually manipulated toinsert a stopper member relative to the syringe body, the plunger memberincluding a needle retention feature disposed in the plunger interior,an energy-storage member disposed in the plunger interior, and anenergy-storage member latching member disposed in the plunger interior;and a needle hub assembly coupled to the distal needle interface of thesyringe body, the needle hub assembly including a needle having anannular recess and a needle proximal end feature comprising an elongateneedle proximal portion, a collar portion, and a proximal tip, a hub,and a needle latching member configured to interact with the annularrecess in the needle to removably couple the needle to the hub, whereinthe needle is at least partially retractable into the plunger interiorupon manipulation of the plunger member relative to the syringe body totransform the energy-storage member latching member from a latched stateto an unlatched state, wherein the elongate needle proximal portion hasa first cross-sectional diameter, wherein the collar portion has asecond cross-sectional diameter, and wherein the second cross-sectionaldiameter is greater than the first cross-sectional diameter, and whereinthe collar portion comprises an uninterrupted annular distally facingsurface.
 2. The system of claim 1, wherein the needle retention featurecomprises a receiving member having a plurality of latching members tocooperate with the uninterrupted annular distally facing surface toprevent distal movement of the needle relative to the needle retentionfeature, when the needle is coupled to the needle retention feature, andwherein the receiving member has a rigid ring disposed at a distal endthereof.
 3. The system of claim 1, wherein the needle is configured topierce through the stopper member to initiate needle retraction.
 4. Thesystem of claim 1, wherein the uninterrupted annular distally facingsurface is configured to prevent distal movement of the needle relativeto the needle retention feature, when the needle is coupled to theneedle retention feature.
 5. The system of claim 1, wherein theplurality of latching members consists of two latching members, andwherein each of the two latching members has an arcuate cross-sectionalgeometry.
 6. The system of claim 1, wherein the plurality of latchingmembers consists of four latching members.
 7. The system of claim 1, thereceiving member also having a plurality of slits, wherein each slit ofthe plurality of slits is disposed between two latching members of theplurality of latching members.
 8. The system of claim 1, wherein theelongate needle proximal portion consists of a solid body.
 9. The systemof claim 1, wherein the proximal tip of the needle has a thirdcross-sectional diameter, and wherein the first cross-sectional diameteris greater than the third cross-sectional diameter.
 10. The system ofclaim 1, the needle proximal end feature further comprising a proximallydirected tapering surface.
 11. The system of claim 10, wherein theproximally directed tapering surface defines a proximally pointed cone.12. The system of claim 1, wherein the needle proximal end featureincludes a proximal opening and a hollow interior.
 13. The system ofclaim 12, wherein the needle comprises a tubular member coupled to theproximal end feature such that an interior of the tubular member is influid communication with the hollow interior of the needle proximal endfeature, and wherein the tubular member includes a side opening and theannular recess.
 14. The system of claim 12, the needle comprising ashoulder configured to increase a distal force required to push thestopper member over the needle.
 15. The system of claim 12, wherein theproximal opening is defined by blunted edges of the needle proximal endfeature.
 16. The system of claim 1, the receiving member having an openconfiguration in which the needle proximal end feature can moveproximally past the receiving member and a resting configuration inwhich the needle proximal end feature cannot move distally past thereceiving member, wherein the plurality of latching members are closerto each other when the receiving member is in the resting configurationthan when the receiving member is in the open configuration.
 17. Thesystem of claim 16, wherein the plurality of latching members are biasedto move closer to each other such that the receiving member is in theresting configuration.
 18. The system of claim 16, wherein the pluralityof latching members are configured to move away from each other when theneedle proximal end feature is moved proximally past the receivingmember to place the receiving member in the open configuration.
 19. Thesystem of claim 18, wherein the plurality of latching members are biasedto move closer to each other when the needle proximal end feature hasmoved past the receiving member in a proximal direction such that thereceiving member is returned to the resting configuration, such that aninteraction between the plurality of latching members and theuninterrupted annular distally facing surface of the needle proximal endfeature prevents distal movement of the needle relative to the needleretention feature.